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1999-673 TOWN OF QUEENSBURY 742 BayRoad,Queensbury,NY 12804-5902 (518)761-8201 Community Development- Building &Codes (518) 761-8256 CERTIFICATE OF OCCUPANCY Pemiit Number. 99673 Date Issued: Monday, January 05, 2009 This is to certify that work requested to be done as shown by Permit Number 99673 has been completed. Location: 31 HONEY HOLLOW Rd Tax Map Number. 523400-308-018-0001-012-000-0000 Owner. RICHARD &KIMBERLEE KOKE Applicant RICHARD & KIMBERLEE KOKE This structure may be occupied as a: Single Family Dwelling By Order of Town Board TOWN OF QUEENSBURY Issuance of this Certificate of Occupancy DOES NOT relieve the property owner of the responsibility for compliance with Site Plan, rajw Variance, or other issues and conditions as a result of approvals by the Director of Building Code orcement Planning Board or Zoning Board of Appeals. BUILDING PERMIT Town of Queensbury, 742 Bay Road, Queensbury,NY 12804 County of Warren (518) 761-8256 VALUE $ 280000 99673 Building Permit No. TAX MAP NO. 125 . -5-120 KOKE, RICHARD Permission is hereby granted to 31 HONEY HOLLOW RD. Owner of property located at in the Town of Queensbury,to construct or place a SINGLE FAMILY DWELLING at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Owner's Address: 8 SHERMAN AVENUE QUEENSBURY, NY 12804 Contractor or Builder's Name: KOKE, RICHARD Contractor or Builder's Address: Electrical Inspection Agency: NEW YORK BOARD NEW YORK BOARD OF FIRE UNDERWRITERS Type of Construction: SINGLE. FAMILY DWELLING Plans and Specifications: 3780 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGE AS PER PLOT PLAN SPECIFICATIONS Proposed Use: SINGLE FAMILY DWELLING 563 November 3 . 2001 PERMIT FEE PAID—THIS PERMIT EXPIRES (If a longer period is required,an application for an extension must be made to the Code Enforcement Officer of the Town of Queensbury before the expiration date.) 3 November 1999 Dated at the T of Queensbu s Day of SIGNED B S; AAL. for the Town.of Queensbury Code Enforcement Officer FILE_ TOWN OF QUEENSBURY ` 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: 99673 Application Number: 9r, Tax Map No: 523400-308-018-0001-012-000-0000 Permission is hereby granted to: RICHARD &KIlVIBERLEE KOKE For property located at: 31 HONEY HOLLOW Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: RICHARD &KIMBERLEE KOKE 31 HONEY HOLLOW Rd Single Family Dwelling $280,000.00 QUEENSBURY, NY 12804 Total Value $280,000.00 Contractor or Builder's Name /Address Electrical Inspection Agency KOKE INC. NEW YORK BOARD 582 QUEENSBURY Ave QUEENSBURY, NY 12804 Plans&Specifications 99-673 SINGLE FAMILY DWELLING/3780 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR ATTACHED GARAGEAS PER PLOT PLAN SPECIFICATIONS $563.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Tuesday,April 01, 2008 (If a longer period is required,an application for an extension must be made to the code Enforcement Officer fl of the Town of Queensbury before the expiration date.) (A) ip v Dated at the Town of Queensbury; Wednesday, November 03, 1999 en SIGNED BY for the Town of Queensbury. I + Qdfl( Director of Building&Code Enforcement (y TOWN OF QUEENSBURY g 13' 742 Bay Road,Queensbury,NY 12804-5902 (518)761-8201 Community Development-Building&Codes (518) 761-8256 BUILDING PERMIT Permit Number: 99673 Application Number. 99673 Tax Map No: 523400-308-018-0001-012-000-0000 Permission is hereby granted to: RICHARD &KIMBERLEE KOKE For property located at: 31 HONEY HOLLOW Rd in the Town of Queensbury,to construct or place at the above location in accordance with application together with plot plans and other information hereto filed and approved and in compliance with the NYS Uniform Building Codes and the Queensbury Zoning Ordinance. Type of Construction Value Owner Address: RICHARD &KIMBERLEE KOKE 31 HONEY HOLLOW Rd Single Family Dwelling $280,000.00 QUEENSBURY,NY 12804 Total Value $280,000.00 Contractor or Builder's Name/Address Electrical Inspection Agency KOKE INC. NEW YORK BOARD 582 QUEENSBURY Ave QUEENSBURY, NY 12804 Plans &Specifications 99-673 SINGLE FAMILY DWELLING/3780 SQ FT SINGLE FAMILY DWELLING WITH 2-CAR - ATTACHED GARAGEAS PER PLOT PLAN SPECIFICATIONS $563.00 PERMIT FEE PAID-THIS PERMIT EXPIRES: Saturday,April 01,2006 (If a longer period is required,an application for an extension must be made to the co •Nthicrierit Officer of the Town of Queensbury before the expiration date.) Dated at the Town of Queens my; ednesday,November 03, 1999 SIGNED BY for the Town of Queensbury. irector of Building Cod nforcement :__________ Building Permit Application Town of Queensbury - Dept. of Conumrnity Development, 742 Bay Road, Queensbwy, NY 12804 /761-8256] BUILDING cfc . CODE ENFORCEMENT NOTICE Requirements prior to issuance A permit must be obtained before of this permit: PERMIT FILE NO. 7 beginning construction. No inspections �` '�� • will be made until applicant has received El Zoning $ g Board Action PERMIT FEE PAID V' Ce a VALID BUILDING PERMIT. Alt • Area /Use applicants" spaces on this application RECREATION FEE P. $ MUST be completed and•the signature (� Planning Board Action of the applicant•must appear on the REVIEWED IJY. J Thank SPR / Subdivision /Other Building Inspector plication form. ,., • Recreation Fee Payment ,l Applicant: Owner: /evi- / /llZ //// � . ' Address: , �fP/2/Y/ ti %& Address: ,P Z4 /t//// 1 /1—Ve. Phone # (5,f� ) �_3 - 2�Y� Phone # ( �8 ) /�i✓� - G� 7 Property Location: 3/ /1rn / a-9f erref- ie, • . . Numberl2 17►.--r r� /J� Tax Map /��_ . Subdivision Name: /.,/JF�re1� drs'' — Section 131nck T c,t NATURE OF PROPOSED WORK: ESTIMATED MARKET VALUE OF THE New Building: CONSTRUCTION: $ Q /,aU, --" residence / commercial / Addition to Building: residence / commercial OCCUPANCY INFORMATION: Alteration to Building: Primary Building - residence / commercial u/ Single Family Dwelling Residence / Commercial Two Family Dwelling no change to exterior size . Family Dwelling Office Other Work (describe below) Mercantile Manufacturing r Other GROSS AREA OF PROPOSED STRUCTURE:(�� • 1st Floor Z��U sq. 3--_c If ADDITION, what will use 2nd .Floor • 23& sq. ft.s� 3 of new addition be? : . Other Floors sq. f 7p (not unfinished cellar or bas Den ACCESSORY BUILDINGS• s�� o Detached Garage 1, 2 car 3 TOTAL FLOOR AREA: 7k) S . 2— Attached Garage 1, <5. car Private Storage Building SIZE OF NEW STRUCTURE: Commercial Storage Building 4 / a FEET X �o FEET Other Foundation Type: ,Z1200 L rer2e/ Will any second-hand or ungraded ' Number of Stories : Z, lumber be used? If so, for what? (habitable space only) Height (grade to ridge) : 3 7 feet TYPE OF HEATING SYSTEM: Number of fireplaces and/or woodstove (circle all whic, lies) • to be installed: / Electric / Oil ' / Wood Forced Hot Air / Baseboard / Other Person respon ble for sup rvision of work as regards to building codes i s : fGy� /� /c' S/0?ryi?7J e -799-- 67,e(7 Name Addresss ihone„ ,Builder: /% 9P2 — /7/} ,6•,9-. lu Y A i '-5- 09 Plumber: /0ef ,4 /l�iz Mason: , � 1t_,� Electrician:• /rit� ,i , DECLARATION: Please sign below after you have carefully read the statement. To the best of my knowledge the statements contained in this application, together with the plans and specifications submitted, are a true and complete statement of all proposed work to be done on the described premises and that all provisions of the Building Code, the Zoning Ordinance and all other laws pertaining to the proposed work shall be complied with, whether specified or noted, and that such work is authorized by the owner. Further, it is understood that I/we shall submit prior to a Certificate of Occupa - 'or Certificat. of Compliance being issued, an AS BUILT PLOT PLAN by a licensed surveyor d =wn to scale, s ing actual location of project on premises. Signature: '4 (owner, owner's agent, architect, contractor) y ` Application for SEPTIC DISPOSAL PERMIT Town of Queensbury Tr‘&ri Dept. of Community Development Permit No. Building &Codes Office 742 Bay Road Fee Paid $ Queensbury, NY 12804 Location of property for instAl1Ation. 3/ /`far?", �TvGC �- /Sy /U ia4P61F Property Owner's Name: /8C.,h4,O fZ/?e Property Owner's Mailing Address: 4 Gr,„,„ /f . rJ/ /dft• Installer's Name: D %ems / Phone # 79v- 27 g #4ys � ,�kel77Air Number of bedrooms (if residential): Total daily flow: ZOO (residential - compute @ 150 gal./bdrrn.) Topography: X flat, rolling, steep slope % of slope • Soil Nature: g sand, X loam, clay, other /depth: Ground water: at what depth? 7 feet / Bedrock or Impervious Material: at what depth? feet Percolation test: not required, required [rate >1. min. per inch] Domestic water supply: /municipal, well, other If domestic water supply is a WELL, water supply from any septic absorption is --- feet. _ PROPOSED SYSTEM Septic tank: /ZOO gallon (minimum size: 1,000 gal.) Tile field: each trench 5Z feet / Total system Iength: 25 D feet Seepage pit(s): number of D / size each: , ft.by ft. • Size of stone to be used: # '� Z / depth or thickness / feet HOLDING TANK SYSTEM: (if required) Number of tanks: - Size of each: gallons (Alarm system and associated electrical work to be inspected by a certified agency.) For your protection, please rote that pursuant to Section 136-29 of the Code of the Town of Queensbury, any permit or approval granted which is based upon or is granted in reliance upon any material misrepresenta6on or failure to make a • material fact or circumstance known by or on behalf of an applicant, shall be void. I have read the regulations with respect to this app' ation and agree abide by these an all requirements of the Town of Queensbury Sanitary Sewage Disposal Signature of responsible person: „44.4.4.,4// Date: A -2$ -�Q ENERGY CODE COMPLIANCE APPLICATION ,� TOWN OF QUEENSBURY, WARREN COUNTY �' 9000 HEATING DEGREE DAYS Compliance Methods: PART 5 - Acceptable Practice Method - 1&2 Family Dwellings (only) • PART 6* - Thermal Rating - Component Trade Offs 1&2 Family Dwellings; Multi-Family Dwellings (3 stories or less) 674(9 PART 4* Design by Component Performance Commercia Build' gs-Hi Rise Residential r�/�� *Requires sub } n of yr ksheets / APPLICANT' S NAME : PROPERTY LOCATION: PART 5 MvTHOD OF COMPLIANCE BY ACCEPTABLE PRACTICE: 1 . Gross Floor Area - 64'00 scuare feet 2 . Tsrpe of Heat - Electric Oil LZ Gas Other 3 . Is building mechani sally cooled? Yes No • • 4 . Percentage of area of windows and doors Over 17% "'Under 17% 5 . R--VALUES FOR INSULATION GIVEN BELOW MUST CORRESPOND TO R-VALUES AS S_O N ON PLANS SUBMITTED: a . Roof R 3C' b . Exterior walls R y/ c . Glazed areas R d . Exterior doors R 2u3' e . Floors over unheated spaces R 436 f . Edge of slab on grade (heated building) R c. Basement/cellar walls (above grade) R l/ h . Basement/cellar walls (below grade) R /l . Heating/cooling-ducts-piping in unheated space R 6 . Service (domestic) hot water heating device Conforms to minimum efficiency per code f Yes No TEMPERATURE CONTROL MAXIMUM SETTING 1400 - WILL NOT BE EXCEEDED P-poi is Si ture Date Phone Number cd lizef( /b •-Z-5 -6/-1 3 - Z6o 7 I 79Jam^ 6Ua • •C iNSPEC=OR' S REMARKS: TO TAN OF QUEENSBURY 742 Bay Rd., Queensb.ury, NY 12804 t APPLICATION FOR SOLID FUEL.-BURNING APPLIANCES AND CHIMNEYS. Date ,19 ltiff;r - Permit No. / " , APPLICATION IS HEREBY M'AIDEti to the Building Dept. for the issuance of a Building and Use Permit pursuant to the New York State Firet4P,'r"evention and Building Code. The applicant or owner agrees to comply with all applicable laws, ordinances, regulations, and all conditions that are part of these requirements and also will allow all inspectors to enter premises toperform required inspections. Please fill out additional form if more than one appliance and/or chimney. Applicant ,< ,,,,e,` APPLIANCE (check appropriate boxes) Address 3/ e,/, i 67 A , . ❑ STOVE: ❑Wood o Coal o Pellet ❑ Gas . / 0 FIREPLACE INSERT Cr_.,'}�r'r,,,L5c1 t,^A2,.�' ,.�f%V Zip /: &oy/ 0 FIREPLACE, FACTORY-BUILT: } 1 :a p 7 I' ❑ Wood p!!G as .. Phone \F ,:`: , 3-22o7(Ali 7?J• ' 17(&)) 0 FIREPLACE, MASONRY:- o Wood ❑ Gas Owner fw ,.et / "r 0 FURNACE: ❑ Wood pIGas ❑ Oil it; Address ,,, n�* ' ,���,�,;��,,,.,,0 dye, IF NON,-MASONRY APPLIANCE: Manufacturer: • f .s- /;-yet /(417 Zip /) 0 ` Model: Phone , 6; 3 207 *EXACT ADDRESS of proposed construction CHIMNEY (check ap prop riate*`boxes) . . 0 MASONRY: 0 Block 0 Brick CI Stone , � r'/, >�.. f,�vf,f ,+ FLUE: 0 Tile 0 Steel Size: inches. CONSTRUCTION / INSTALLATION MUST 0 FACTORY-BUILT: CONFORM TO NYS FIRE PREVENTION & Manufacturer: Model: I BUILDING CODE. CONSULT AVAILABLE Listed By: Number: TOWN OF QUEENSBURY HANDOUTS 0 Double Wall ❑Triple Wall REGARDING REQUIRED INSPECTIONS.. 0 Insulated , l'`Direct Venting 0 Chimney Liner Cashier's Department Town of Queensbury, New York Dept: Fire Marshal : . ' Amount Collected Amount Refunded Code Number : Title -- 62 •/'f' A 173 3389 (190) Public Safety _ A 233 2655 (230) Minor Sales c\--) Fee Collected From or Refunded to: a ,, '°C` „ €(`'', t"� ( ! n Address: p'''' ,`,I l(. "" I'1 A Dated: 1D _ic i-'Vj' Town Clerk or Dell jay: 1 , .,g ,/1 y,I White Applicant Green: Tire Marshal Yellow: Bldg:De-ptr""r�Pink & Goldenrod: Cashier's Dept. • BLDG. PERMIT NO. 9 9-6 7 3 APPLICATION FOR A TEMPORARY CERTIFICATE OF OCCUPANCY A TEMPORARY CERTIFICATE OF OCCUPANCY is hereby requested for the property located at; 31 Honey Hollow Road for the following uses: • Single Family Dwelling October 26, 2001 DATE SIGNATURE OF APPLICANT TEMPORARY-CERTIFICATE OF OCCUPANCY The TEMPORARY CERTIFICATE OF OCCUPANCY is hereby ' (6APPROVED ( )DISAPPROVED with`'the following conditions: certificate of Occupancy to be issued upon ,completion of: 1`) Finish electrical in garage. 21 .i1n- tall `- mbldi�ng on garage fire doors . 3 ) 'Sheetrock basement fire door. - 4) finish exterior. 5 ) "Install smoke detector at vaulted master b • bedroom'ce,ifli-ng. 6) -Finish electrical ceiling fixtures. 7 ) Provide revised ' draWTngs on roof , wall, and floor framing stamped.• 8 ) Lag Jack Posts to floor in basement. 9 ) Remove paper from basement i ' insulation and cover with poly or sheetrock wall. 10 ) Finish ,, Fireplaces. • • TEMPORARY CERTIFICATE OF OCCUPANCY $10.0 D PO !: $10t.00.41 - 1 • 4. received on October 26 , 2001 . Date of Issuance : Director of Bldg.-& Code Enforcement . THIS TEMPORARY CERTIFICATE, OF OCCUPANCY EXPIRES' 365 DAYS FROM THE DATE OF ISSUANCE. NOTE: This Certificate is NOT VALID unless signed by the Director of Bldg. & Code Enforcement,or his designee. 414\ c Er, a - Queensbury Building & Code Enforcement - es � identi � i a ns•ection Office No. (518) 761-8256 Arrive: Val co eth.pm D 'art: AD_-= - aim m Date Inspection request received: Inspector's Initials: i 9 ` (� NAME: /./7/ 1 `E:MIT#: // _ '" 'F ILOCATION: 1 All("--"-.) D ATE: <`_, 2' '_c 'c'k 'i- TYPE OF STRUCTURE: / "ir.'= ' 0/— C2 Comments: Yes No N/A 4' Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches IL—`f J Z -)( - Roof Complete/Exterior Finish Complete V Platform at all exterior doors /// Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/' hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical CCo,[¢. V t F, 0 p Pt‘-t.- QoP-c-t-k Final Survey Plot Plan F�F.c 9 R-et_ocl_ Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Okay to issue C/C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Fomis\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 31t1US Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518) 761-8256 Arrive: am/p apart: am/pm Date Inspection request received: Inspector's Initials: NAME: PERMIT#: 7% � LOCATION: DATE: TYPE OF STRUCTURE: Comments: Yea No N/A e>0 f 4" Building Number Address visible from road / Chimney Height PS"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more 0, 1 Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate 0/6„L 1),) Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x.24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation/Insulation Certification Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'/"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/'/%hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept. Inspection Sticker Site Plan /Variance required _ Flood Plain Certification,if required Okay to issue C I C or C/0[Temporary/Permanent] L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008;Revised 6/26/08 '� 47 7s Queensbury Building & Code Enforcement - Residential Final Inspection Office�NO. (518)761-8256 Arrive: i// 34-) am/patDepart: am/pm Date Inspection request received: Inspector's Initials: ',1/ NAME: PERMIT#: LOCATION: - r- _ / �7 DATE: U �+ TYPE OF STRUCTURE: i Comments: Yes No NIA 4" Building Number Address visible from road g79 1 ! / b k Chimney Height/"B"Vent/Direct Vent Location Y 11 iI Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 31 inches to 38 inches '' Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors • Every level: Every Bedroom: . Outside every bedroom area: Inter Connected: Battery backup: . Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Fumace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum W Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/9 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept.Inspection Sticker Site Plan I Variance required / Flood Plain Certification,if required d� pd Y-. i.' Okay to issue C I C or C I 0[Temporary/Permanent] . / CO L:\Building&Codes Forms\Buiiding&Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised January 7,2008 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: /114 am/pn) Depart: am/pm Date Inspection request received: Inspector's Initials: j/fr NAME: /i;ke PERMIT#: 4. LOCATION: DATE: 3 2 rJ8 TYPE OF STRUCTURE: Comments: , Yes No N/A ej,V 4 f/ p 4° Building Number Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Handrail 4 or more risers Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches Deck Bracing/Handicapped Ramp Compliant Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim I doors I main entrance 36 inches Bathroom I Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors/Carbon Monoxide Detectors Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery.backup: Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft:150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valves)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum'°Gypsum Basement stairs dosed rise>4 inches Garage Floor Pitched • Garage fireproofing/%hour fire door/door doser Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure • Final Electrical Final Survey Plot Plan Arc Fault Breaker in Bedrooms Flex Gas Pipe Bonding As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if r ui Okay to issue C/C or /0 T•mpora ,/Permanent] 4 / so ',2y f L:1Building&Codes Forms\Building 8,Codes\lnspection Forms\Residential Final Inspection Form_revised_100405.doc;Revised / January 7,2008 Queensbury Building & Code Enforcement - Residential Final Inspection Office No. (518)761-8256 Arrive: am/p epart: am/pm tl� Date Inspection request received: Inspectors Initials: NAME: /Fee • LOCATION: c -e^ r� . ��[�} �, DAPERTNEIIT#: i / 6j 73 TYPE OF STRUCTURE: Comments Yes No N/A Building Number/Address visible from roadaapp_. Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete / `� Platform at all exterior doors �� p C/O Guards at stairs,decks,patios more than 30 inches above grade (-� )(f) Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches or more Handrail Termination at Newell Post or Wall 47i do-72 Interior/Exterior Railings 34 inches to 38 inches Interior Handrails @ stairs 2 or more risers Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy!trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq. ft.-150 sq.ft. vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Enclosed Stairs Sheetrock Underside minimum%z"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certification,if required Perfn. Okay to issue C/C or C/0 [Temporary/Permanent] r// 0/ L,/ L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form revised 100405.do. Queensbury Building & Code Enforcement - Residential Final Inspection Offices.'.. (518)761-8256 Arrive: � ��� am/ ... Depart: am/pm Date Inspection request received: Inspector's Initials: —_`_ NAME: '--� � \(� iu � PERMIT#: 3 LOCATION: j hOPt-e NO/(per y DATE: TYPE OF STRUCTURE: / Comments Yes No N/A Building Number/Address visible from road Chimney Height/"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumbing Vent through roof minimum 6 inches Roof Complete/Exterior Finish Complete Platform at all exterior doors Guards at stairs,decks,patios more than 30 inches above grade Guard at stairwell at 34 inches or more Guard at deck,porches 36 inches-or more Handrail Termination at Newell Post or Wall Interior/Exterior Railings 34 inches to 38 inches ; \ Interior Handrails @ stairs 2 or more risers \" Grade away from foundation 6 inches with 10 feet 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18 inches above grade Interior privacy/trim/doors/main entrance 36 inches Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: Every Bedroom: - - Outside every bedroom area: Inter Connected: Battery backup: Carbon Monoxide Detector -.Attic access 30 inches x 22 inches x 30 inches(height)in accessible area Crawl Spaces 18 inch x 24 inch access, 1 sq.ft.-150 sq.ft.vents Bathroom Fans,if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sq.ft. Emergency egress below grade _ �„�Ac,e 04 Gas Furnace shut-off within 30 feet or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating CAM e, G� Low water shut-off boiler / J Relief Valve(s)installed/Heat Trap/Water Temp 110 /. oe/ C Ay ' L Enclosed Stairs Sheetrock Underside minimum''/2"Gypsum Basement stairs closed rise>4 inches Garage Floor Pitched e)0//e icie- Garage fireproofing/3/a hour fire door/door closer / Duct work Sealed properly (wrG(' 'RiftI«i/ Gas Logs in Sealed or Glass Enclosure Final Electrical Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Site Plan /Variance required Flood Plain Certificatio i e fired f r Okay to issue C/C C/O" emporary/Permanent] er �, C v ! p L:\Building&Codes Forms\Building&Codes\Inspection Forms\Residential Final Inspection Form_revised 100405.doc Queensbury Building & Code Enforcement - Residential Final Inspection Office No.(518)761-8256 Arrive: am/pm Depart: am/pm Date Inspection request received: Inspector's Initials: (; NAME: ,-rIr\c\ v n 42 _ PERMIT#: ,3 LOCATION: ? 1 �t�(� �, �l (f (j' DATE: TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake t� 3 inch Plumb Vent through roof minimum 6" Roof Complete/Exterior Finish Complete n Guard 30 in.or more @ stairs,decks,patios _e /n�/� Guard at stairwell at 34 in. or more -7 Guard at deck,porches 36 in. or more Exterior Finish Complete 7(L)1Interior/Exterior Railings 34 in. to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers Enclosed Stairs Sheetrock Underside minimum %2" Gypsum Grade away from foundation 6 in.with 10 ft. Handrail Termination at Newell Post or Wall 6 inch clearance to sill plate Gas Valve shut-off exposed/regulator 18"above grade Gas Furnace shut-off within 30 ft.or within line of site Oil Furnace shut-off at entrance to furnace area Furnace/Hot Water Heater operating Low water shut-off boiler Relief Valve(s)installed/Heat Trap/Water Temp 110 Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing/Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Carbon Monoxide Detector Bathroom Fans, if no window Plumbing fixtures Foundation insulation Floor truss,draft stopping finished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches Garage Floor Pitched Garage fireproofing/3/4 hour fire door/door closer Duct work Sealed properly Gas Logs in Sealed or Glass Enclosure Attic access 30 in.x 22 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq. ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification, if re uirefi � 8 � Okay to issue C/C or C/ Tem ora Permanent] / W /f SesGn r c�; -kJ ekki ive,t yet'L:\.PamW\Building&Codes\Inspection FoIms\Res. Final Insp. form 2.docLast printed 2/12/04 • Residential Final Inspection /141-7 . Office No. (518) 761-8256 Date Inspection request receive : Queensbury Building&Code Enforcement Arrive: . am/pm Depart: am/pm 742 Bay Rd., Queensbury, 12804 Inspector's Initials: • NAME: PERMIT#: -Leg LOCATION: DATE: --O TYPE OF STRUCTURE: Comments Y N N/A Chimney Ht./"B"Vent/Direct Vent Location Fresh Air Intake 3 inch Plumb Vent through roof Roof Complete • Guard 30 in. or more @ stairs,decks,patios Guard at stairwell at 34 in.or more Guard at deck,porches 36 in. or more Exterior Finish Complete Interior/Exterior Railings 34 in.to 38 in. Platform at all exterior doors Interior Handrails stairs 2 or more risers • Grade away from foundation 6 in. with 10 ft. J S (� Handrail Termination at Newell Post or Wall V�ti'l+' �''�� e� � L�� 8 inch clearance to sill plate k. ;; J Gas Valve shut-off exposed/regulator 18"above grade r`I's Gas Furnace shut-off within 30 ft. or within line of site �' / Oil Furnace shut-off at entrance to furnace area I / r'P� `�� Furnace/Hot Water Heater operating •Low water shut-off boiler . Relief Valve(s)installed Interior privacy/trim/doors/main entrance 36 in. Bathroom/Kitchen watertight Safety glazing Window in stairwells safety glazing Interior Smoke Detectors: Every level: / Every Bedroom: Outside every bedroom area: Inter Connected: / Battery backup: Bathroom Fans,if no window Carbon Monoxide detector Plumbing fixtures Foundation insulation Floor truss,draft stopping fmished basement 1,000 sf Emergency egress below grade Basement stairs closed rise>4 inches %hour fire door/door closer Garage fireproofing Duct work Sealed properly Attic access 30 in.x 24 in.x 30 in.(ht.)In accessible area Crawl Spaces 18"x 24"access, 1 sq.ft.-150 sq.ft.vents Building No./Address visible from road Final Electrical Site Plan /Variance required Final Survey Plot Plan As Built Septic System/Sewer Dept.Inspection Sticker Flood Plain Certification,if required Okay to issue C/C(Cert.Of Compliance) �f z � K Okay to issue Temporary C/0(Cert. Of Occupancy) ? ya, Okay to issue Permanent C/0(Cert. Of Occupancy) L:\SueHemingway\Building.Codes.Inspection.FORMS\Res.Final Insp.form 2.doc edited January 28,2003Y.817) w C"tihi/ / ✓. I/ 2oq • TOWN OF QUEENSBURY APPAiA BUILDING & CODE ENFORCEMENT IA742 BAY ROAD / QUEENSBURY NY 12804 (! (518) 761-8256 / J 1 ARRIVE: DEPART: l / • UvINSP�J FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION RE VEST RECEIVED: NAME LOCATION ( lio lj CLO C,. DATE Ll I i �( PERMIT H W— 4°7 ez J TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL FRAMING ROUGH PLUMBING SEPTIC _ INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT B VENT NEIGH'& PLUMBING VENT ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILINGS RELIEF VALVES FURNACE/HOT WATER OPERATING INTERIOR TRIM PRIVACY DOORS FINISH FLOORS: 111 BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS PLUMBING FIXTURES • FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS FINAL ELECTRICAL SITE PLAN/VARIANCE REQ. t/// FINAL SURVEY PLOT PLAN OK TO ISSUD C/O OR C/C As -6 6-vt ►J (Pc A) o ft) Et c-c- TOWN OF QUEENSBURY . 4 BUILDING & CODE ENFORCEMENT � 3� 742 BAY ROAD /� QUEENSBURY NY 12804 (f (518) 761-8256 ARRIVE: DEPART: INSP: 66 FINAL INSPECTION REPORT - RESIDENTIAL DATE INSPECTION R.QUEST RECEIVED: NAME _ PLC -- LOCATION '3 1 46 'Y q 66401X) DATE I l ©, PERMIT # Cfq--6I: TYPE OF STRUCTURE FOOTINGS FOUNDATION BACKFILL _ FRAMING ROUGH PLUMBING SEPTIC INSULATION • FINAL ELECTRICAL WOODSTOVE OR FIREPLACE N/A YES NO CHIMNEY HEIGHT/B VENT/HEIGHT PLUMBING VENT (—) ROOFING EXTERIOR FINISH DECK/PORCH/STEPS/RAILING RELIEF VALVES / FURNACE/HOT WATER OPERA'I'I G INTERIOR TRIM/PR VACY DOOR'S FINISH FLOORS: BATH/KITCHEN WATERTIGHT OTHER FLOORS SWEEPABLE OTHER FLOORS CARPETED STAIR CLEARANCE/RAILINGS SMOKE DETECTORS BATHROOM FANS i PLUMBING FIXTURES FOUNDATION INSULATION GARAGE FIRE PROOFING DOOR CLOSERS iF AL ELECTRICAL ITE PLAN/VARIANCE REO. �r FINAL SURVEY PLOT PLAN (s OK TO ISSUE C/O OR C/C 1 __(DI: 0 e./ --Viiiiiligl°r, 9/41'1 RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: VV Building&Code Enforcement Dept.of Community Development Arrive1am/pm Depart a m/pm Town of Queensbury Inspector's Initials 7`f. 742 Bay Road Queensbu ew York 12804 (� /'� 2 NAMEA O PERMIT# ` c'(9 Z 3 LOCATION 1 I-kj 1Gt;J r la DATE /p vz/R-p2,04 f TYPE OF STRUCTURE S N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location ' i., ' Fresh Air Intake Vr Plumb Vent through roo �,r ,�j/A 1)f e if Q../ /fr. j�r4 Roof Complete J Exterior Finish Comple / A/S G// 110/a'/J{ O 4rt S Q Arc Interior/Exterior Railin. 30"to 3," ✓ J / Exterior Handrails,bal mies,Ian.; g 18 in.or more / o/oor f Interior Handrails stairs .oth sides c or more risers v"/ / Grade 2%away from fo dation ✓f _ Se e� FO {e/n GTctltr 8"clearance to sill plate Gas Valve shut-off expo•ed/regul.tor 18"above grade vI Gas Furnace shut-off with n 30 fe t or within line of site - F/•-1J L/ chri y Oil Furnace shut-off at mil ante o furnace area / Furnace/Hot Water Heater op•'.ting to j _ /ASX,// �i��it 4,�`Q.:�,-- Relief Valve(s)installed V, 4?- (14611J Headroom,6 ft.6 in.o :h irs dti. Basement stair, . ..4 in. Handrail exterior stairs boll sides more than 3 risers / J �� c � Interior privacy/trim/doors/ ain entrance 36" ✓/ r'� Floor Finish g/ff / Bathroom/Kitchenwatertigh V t/ hfrjhI/ / ' /'lam et'�/��✓5 Interior Handrails Balconie anding 18 in.or more Railing across window in stai ells i.7 f •r'Zah,eS Smoke Detectors: /� every level pv,�� revise"seGC' GIe4Ga/ S °" everybedroom / / / y� outside every bedroom ✓ /"co 7 Svc 4 igN�l ',CO'�ro m/M E¢Lr'7✓ e inter connected Y Bathroom fans �j ',�_>- _�.....M ' -_ Plumbing fixtures s✓ / Foundation insulation •ff ✓ 3/4 hour fire door/door closer ✓ Garage fireproofing "/ /� ,� ��& �� ~Garage penetrations sealed / t/ ��� a ' Furnace in separate room prote i ted(in garage) 1, dz- it keA- Light ventilation per room se_r -Safety glazing 18"or less from floor Y ' e/n�. T '-0Jl keme,..t Final Electrical , lef bili te— a CO I & Site PlanNariance required ✓ Final Survey Plot Plan irof �, oR ��ecr�z i„.%lr As Built Septic System layout required V Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy) Okay to issue permanent C/O(Certif.of Occupancy) rimp/ f/ref4e ..5 - :q Ve)\-crj .6cP'res ) .O1 -0 ! RESIDENTIAL FINAL INSPECTION REPORT Office No.(518)761-8256 Date inspection request received: Building&Code Enforcement Dept.of Community Development Arrive_-rid am/pm Depart ai pm Town of Queensbury Inspector's Initials c:_.) 742 Bay Road Queensbury,New York 12804 NAME c- / )< , PERMIT# (7-7__3 LOCATION 1 [ 14-o(( DATE Jo //-Vaal/ TYPE OF STRUCTURE c,0 N/A YES NO COMMENTS Chimney Height/"B"Vent/Direct Vent Location —T Fresh Air Intake Plumb Vent through roof Roof Complete Exterior Finish Complete Interior/Exterior Railings 30"to 3 Exterior Handrails,balconies,I.I ding ; in.or more /� ,6 L Interior Handrails stairs both sit•s 3 or I ore risers '" Grade 2%away from foundatio 8"clearance to sill plate Gas Valve shut-off exposed/re! ator 18".bove grade 'y', Gas Furnace shut-off within 30 eet or wi in line of site Oil Furnace shut-off at entranc to furnace area JG/� ` Furnace/Hot Water Heater oper-ting ��/ Relief Valve(s)installed Headroom,6 ft.6 in.on stairs / SZ/71 Basement stairs,6 ft.' in. wc�t o • Handrail exterior stairs . sid ire than 3 risers Interior privacy/trim/doors/main i trance 36" Floor Finish Bathroom/Kitchen watertight Interior Handrails Balconies/Lane •g 18 in.or more Railing across window in stairwell. Smoke Detectors: every level every bedroom outside every bedroom inter connected Bathroom fans Plumbing fixtures Foundation insulation 3/4 hour fire door/door closer Garage fireproofing Garage penetrations sealed Furnace in separate room protected in garage) Light ventilation per room J Safety glazing 18"or less from floor Final Electrical Site Plan/Variance required Final Survey Plot Plan As Built Septic System layout required Okay to issue C/C(Certif.of Compliance) Okay to issue temp.C/O(Certif.of Occupancy)_ Okay to issue permanent C/O(Certif.of Occupancy) COMMONWEALTH ELECTRICAL INSPECTION SERVICE,INC.( Main Office 176 Doe Run Road-Manheim,PA 17545 /�j MUNICIPAL CERTIFICATE - ELECTRICAL APPROVAL `�V Panel Board No Cert. N4 7 015 5 Cut-in Card No Owner s&h'1// O 3 Location �/)/v 1,er try �`�uJ Installation Consisting of./3 3 S'cu-1 b:/ g/2-er676 /19 LreS (eac cC Installed By 3g" Lic.No. The conditions following governed the issuance of this certificate,and any certificate previously issued is cancelled:- This certificate only covers the electrical equipment and installation conditions as of date. Upon the introduction of additional equipment or alterations,application shall be promptly made for inspection. Inspectors of this Company shall have the privilege of making ' spections at any time, and if it: rules are violated,the Company shall have the right to v ke thi icate Date 46"0 l INSPECTOR GENERAL INSPECTION REPORT ( 518) 761-8256 Town of Queensbury Dept.of Community Development Date-inspection ratites(quest,received: Building&Code Enforcement 742 Bay Road 7 ' Queensbury,NY 12804. / Arrive am/pm Depart C ' am/pm ,/ Inspector's I itials "/ 7 NAME: (LG t'G �P,r ,. PERMIT# LOCATION: DATE: / / TYPE OF STRUCTURE: `!, / RECHECK /4 &) /0/ ,-1 - \ / t, N/A YES NO COMMENTS ` Footings/Piers I I I Monolithic Pour Form tip, / Reinforcement in Place The contractor is responsible for \ i j,// k► D providing protection from freezing for 48 hours following the placement nL � .-1— j p� �j P of the concrete. \N f Materials for this purpose on site / , �� Foundation/Wallpour i 1-2�Ir'�1\NCB {{/}/� C Reinforcement in Place / \ �— Foundation/Dampproofing / . I R U 65 f d I i r /4 F / ClS e Backfill Approval / ,. Plumbing Under Slab // \<AA LG S Plumbing Vent/Vents in Place '"�, • Rough Plumbing r+� Heating Rough-In / • "; Insulation Foundation Walls Interior R- i Foundation Walls Exterior R- ✓' Floors R- / Walls R- Ceiling R / Nu - Duct work or piping in / , unheated spaces R- N. Proper Vent,Attic Vent / Framing / _ Jack Studs/Headers '"� Bracing/Bridging Joist Hangers ,, Jack Posts/Main Beam ` ; Air Infiltration Barrier Fire Separation 1,2, 3,hour ..`` Penetration Sealed Fire Wall 2,3,4 hour . Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: 1 t Building&Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive 336 am/pm Depart am/pm Inspector's Initials� `� NAME: ( c," 4 ) PERMIT# /q LOCATION: 3( - i; 6�� DATE : t( TYPE OF STRUCTURE: RECHECK N/A YES NO P OlvIMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In / sulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- i7f Walls R- ) /I /� Ceiling R- t/ Cc G` >" 1 / 'ow (�r 2�.G�(o-- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging • Joist Hangers Jack Posts/Main Bea Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping `4S .k6) GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Quccnsbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Quccnsbury, NY 12804 Arrive Mk) am/pm Depart am/pm Inspector's Initials lO/'J- NAME: (� o\1\.� d PERMIT# LOCATION.3'� `�A gD DATE : — - 7 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I I Monolithic Pour Form Reinforcement in Place The contractor is respoi .ible for providing protection frsm freezing for 48 hours followin! the placemci of the concrete. Materials for this purpo.c on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi t r Backfill Approval Plumbing UndC-r§lab Plumbing VenUVents in Plat. Rough Plumbing Heating Rough-In / n 1./ Se. / ,d,ec.) luz"� /..s a/au- /j Foundation Walls Interior '•- Foundation Walls Exterior - Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- _ Proper Vent, Attic Vent__ Framing — _---Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping Scoi.v--e,.t _� o`.,R`, ``�-`�� c rJ S� Y U }�,„, -,a e s 0,t GENERAL INSPECTION REPORT ( 518 ) 761-8256 1 )` Town of Queensbury (/� Dept.of Community Development Date inspection request received: �j Building& Code Enforcement 742 Bay Road 0 .I-Olt „,..-- Queensbury,NY 12804 Arrive'&' am/pm Depart am/pm 6c,, / Inspector's Initials " f/ NAME: \c�,`\ ���(>c'e, PERMIT# il— `V?3 LOCATION:7,j\ \c • -p��GA)...) g- DATE : )\—‘ ,.. o TYPE OF STRUCTURE: RECHECK -' • N/A YES NO COMMENTS Footings/Piers :` Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. `. j:` Materials for this purpose on site r. Foundation/Wallpour Reinforcement in Place Foundation/Dampproofi ng Backfill Approval '< a'` Plumbing Under Slab I Plumbing Vent/Vents in Place " Rough Plumbing A He4ting Rough-In .. ligulation V /� 40, Foundation Walls Interior R- IJ "\,_ ,/ Foundation Walls Exterior R- Floors R- / "q./ Walls R- . a ��� �/ Ceiling R- �j' CJ� Duct work or piping in unheated spaces R- ;a'./+`^ NI,,,,. Gaud_ Pi A CC // Proper Vent, Attic Vent i N, I 1 Framing---- --— r— — Me you r `7b J o Jack Studs/Headers ov-C� hi...s�k /"., Bracing/Bridging__/ y„,_ Joist Hangers ,,ti . Jack Posts/Main Bcam ``�. N. Air Infiltration Barrer_ Fire Separation 1/2, 3, hour Penetration Seald Fire Wall 2, 3/4_hour Firestopping GENERAL IN,SPECTIONREPORT 1 -a PI-Y) ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depart L I a.,m,/pi Inspector's Initials 4� NAME: )({��) i x: PERMIT# J G.)LOCATI N: 3 l l _ ) LQLtI C-PJ DATE : TYPE OF STRUCTURE RECHECK N/A YES NO COMMENTS Footings/Piers ' I Monolithic Pour Form Reinforcement in Place n The contractor is responsible f r P P.J -1��� D u-- 0/0 providing G-C— providing protection from - zing for 48 hours following the p •ceme t of the concrete. Materials for this se on site Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents' Place Rough)'lumbing / Heating Rough-In , / ,� '-( 4peall ` I�ulation `/ /�/U V Foundation W. s Interior R- Foundation Walls Exterior R- Floors R- >Walls R- /tLL -��1l2CLIC--C l� Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Bather Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: /O /b Building&Code Enforcement 742 Bay Road iJ Queensbury,NY 12804. Arrive am/pm Depart " Inspector's Initials v NAME: PERMIT# 40 LOCATION: 31 l,�ti-' DATE: TYPE OF STRUCTURE: Y C RECHECK U° N/A YES NO COMMENTS Footings/Piers j 1 Ti Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezi g for 48 hours following the placextnent of the concrete. Materials for this purpose on site Foundation/Walipour 1 Reinforcement in Place 1 �� Foundation/Damppro ng Backfill Approval _ Plumbing Under Slab Plumbing Vent/Vents in Place • — Rough Plumbing Heating Rough-In Insulation 1 Foundation Walls Interior/ R- Foundation Walls Exteri9r R- Floors /R- Walls / R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed FireWal 4 hour I In/ Firestopping LOA1 66 16 (, re_tv ��` 7I4 4jL7 e.,,,, y_zit,-, GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received:/ Building&Code Enforcement 742 Bay Road a iii () Queensbury,NY 12104. Arrive am/pm Depa -U 1u, Inspector's Initi Is \ '' NAME: ceD k_ PERMIT# O LOC rYPE ION: 3/ �e� 2-4, DATE : vZf RECHECK a N/A YES NO COMMENTS Footings/Piers I. 1 I Monolithic Pour Form Reinforcement in Place The contractor is responsible fore'. providing protection from freezing for 48 hours following the placement of the concrete. I ", Materials for this purpose on site ., Foundation/Wallpour Reinforcement in Place 1i Foundation/Dampproofing �,,z ' Backfill Approval ` "'a Plumbing Under Slab '\, Plumbing Vent/Vents in Place , Rough Plumbing N • Heating Rough-In , Insulation Foundation Walls Interior R- ?,. Foundation Walls Exterior R- V\ Floors R- ,.,Y.0 Walls R- ,r°` .: Ceiling R- -/ .: Duct work or piping in =„ unheated spaces R- Proper Vent,Attic Vent Framing s '� Jack Studs/Headers 4 n _ Bracing/Bridging .d 11 iP6 j k� r/D2 - Joist Hangers E — Jack Posts/Main Beam •P ATV& /0E-/A-K 67/ . .r) Air Infiltration Barrier /� ` ,C R6-C ' Fir eparation 1,2, 3,hour OC>6--jat-C__ Y l�C 5 '` w P netration Sealed 7 , �}. l,1� ire Wall 2, 3,4 hour V Firestopping 3 Di ,e ` C � D /1 U c- ,o/,2 . CV-kk.�t.1- -`i prc.L) /6r41) GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive '' •rbm Depart "tire! 0011, Inspector's Initial; � NAME: I64_ PERMIT#.%.14ir • 7- LOCATION: 3 I / 7 4�1�-/C� DATE: 0Du► TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I TT- Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site Foundation/Walipour .. Reinforcement inlace Foundation/Damloofing =,; Backfill Approval \ " Plumbing Under Slab\ \ Plumbing Vent/Vents i\Place '. Rough Plumbing Heating Rough-In \ ' N Insulation \ i Foundation Walls Interioi R- 1 Foundation Walls Exterior- I Floors R- \ Walls R- \. Ceiling R- Duct work or piping in ', unheated spaces R- Proper Vent,Attic Vent a Framing 'ti Jack Studs/Headers . Bracing/Bridging °, Joist Hangers F': Jack Posts/Main Beam Air Infiltration Barrier % Fire Separation 1,2, 3,hour -' Penetration Sealed \ Fire Wall 2,3,4 hour Firestopping Ev:i 10e_ la a .-z, 1 ,5e Lk NI GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement / 742 Bay Road il,! i • Queensbury,NY 12804. Arrive am/pm Depart / - n/pm Inspector's Initials '\ NAME: (01e, PERMIT# 5- 2? LOCATION: 3/ ..._ L///.. Pam/ DATE: la uJ TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I I i Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemert\ of the concrete. \ Materials for this purpose on site Foundation/Wallpour \. k,, Reinforcement in Place \S \. Foundation/Dampproofing `ts. \ Backfill Approval N, '', Plumbing Under Slab \ 3 /iumbingVem/VentsinPlace -ougli:Plum 4nI5bing \, r /A"«— A-1 L PL 16 S / Heating Rough-In Insulation 'a r Foundation Walls Interior R- '' , Foundation Walls Exterior R- i Floors R- '4Z, Walls R- + Ceiling R- ! '` Duct work or piping inI unheated spaces R- \, Proper Vent, Attic Vent / Framing I/ r..A Jack Studs/Headers / ', Bracing/Bridging f , . Joist Hangers Jack Posts/Main Beam ;'- Air Infiltration Barrier / _ /J /� c- Gv/�C` Fire Separation 1,2, 3,hour CUctA-O(c%C f-be .C /U/- (w Penetration Sealed ge / 6 �/J�j ON c �/-GU5 . Fire Wall 2, 3,4 hour / ji:Firestoppiiig- '/ -1 , pp rA - . F-16 CiP 6 6)/6 CGi c/2/(5 GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive ,g'-(AN am/pm Depart . a n/pm Inspector's Initials' NAME:- PERMIT# LOCATION: DATE: �4 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers 1 Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezing for 48 hours following the placemer of the concrete. \\ Materials for this purposb on site Foundation/Wallpour 0aa r %y 6,;1 7 Reinforcement in Place Foundation/Dampproofing I c�ni„) c"-c.c.,/i-z, 7�rr�p�cc� Backfill Approval Plumbing Under Slab \ 1 Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In C Insulation Foundation Walls Interior RI Foundation Walls Exterior Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2,3,hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping AZ GENERAL INSPECTION REPORT ( 518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive /X) am/pm Depart am/pm // Inspector's Initials '7,- NAME: ! j PERMIT# 9 9- 6, LOCATION: �7, a X� N. DATE : i Ida) TYPE OF STRUCTURE: / \ RECHECK I I N/A YES NO COMMENTS Footings/Piers 1, 1 h, Monolithic Pour Form \ Reinforcement in Place \ "1 The contractor is responsible for' providing protection from freezing for 48 hours following the placement „la Gc�t'_ ci c.5- d-D of the concrete. I Materials for this purpose on site ` ,44,f kgr T ora%e`er ¢ Foundation/Wallpour , r. ` Reinforcement in Place , / In is S/ AI di i '� C/6rz•L Foundation/Dampproofing e, / Backfill Approval t ri(1 4d 4 f Plumbing Under Slab a, t/ Plumbing Vent/Vents in Place . Rough Plumbing e Heating Rough-In 1 . Insulation N Foundation Walls Interior R- Foundation Walls Exterior R- \ Floors R- Walls R- Ceiling R- \‘ Duct work or piping in W, unheated spaces R- Proper °� Vent,Attic Vent Framing \ Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT (518 ) 761-82 Town of Queensbui Dept.of Communitvelopment Date inspection request received: Building&Code Fcement 742 Bay Road Queensbury,NY /4. Arrive ll K�'_" Depart ALI, uggixn Inspector's Initials NAME: - PERMIT# ._(9 LOCATION: Cl—LC DATE : TYPE OF STRUC E: t4 Fi RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour1m Reinforcement dace The contract isponsible for providing prokon from freezing for 48 hours flawing the placement of the concrei ` Materials for th urpose on site Foundation/Waour Reinforcement:Place Foundation/Daiproofing \ Backfill Apprel Plumbing Und Slab Plumbing VenVents in Place \� Rough Plumbg Heating Rougln Insulation \� Foundatio:Walls Interior R- ,1 Gam— may Cam— Q` T— Foundatid Walls Exterior R- p r� Floors ' R- Walls Walls R- Ceiling R- Duct wore or piping in unheated spaces R- Proper Vent,Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping jUn dtAydi TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name / 1O,4p .' icJi Location 3/ dtqley h'oradA) ) , Date B - f-6(\ Permit # 9 ` ( 7 SOIL TYPE: Sadco a -Loam-CTay- Results of a P' r 1 ti on Test�- (if applicable) Rate-Minute Inch TYPE OF SYS EM: ABSORPTION IELD: Total Leng h Length of e ch trench Depth of inches 1 Size of sto e SEEPAGE PITS\ Number- Size - ft. x ft. Stone size _\ PIPING: \ Size Type Bldg. to Tank Tank to Dist. Box Dist. Box to Field/Pi ,Openings Sealed?\ !.l "- No Partial LOCATION/SEPARATIO : 1 Foundation to Tan ( .feet Foundation to Abso ption I feet Separation of Pits I feet Conforms as per PlotPlan Yes No LOCATION OF SYSTEM PROPERTY* (circle one) Front - Rear - Left S 'de - R% ht Side Middle Front - Middle Rear COMMENTS: . 13 eE ® o tt p b ‘c tams,.. SYSTEM USE APPRD: nEtc o 1° Arrive. :. 7 Depar .. ' :�i� - � ,r iding In • for TOWN OF QUEENSBURY BUILDING b CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 • (518) 761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name R o K o Y'E_ Location _sal_____ Date 7- lQ -cf) Permit # C19-(QL3 SOIL TYP • Sand oam-Clay- Results of Perc• ation T st- (if applicable Rate-Minute/Inch TYPE OF SYSTE : ABSORPTION FI:LD: Total Length ZL Length of eac trench zp yz .16ziTaj ZQ Depth of tren•hes 77_ 1 Size of stone i OF%IsT-1? cR.j SEEPAGE PITS: Number- 1 Size - ft. x 1 ft. Stone size PIPING: Size Type Bldg. to Tank J 1\ Tank to Dist. Bo — " Dist. Box to Fie d/Pit +ti _ kal Openings Sealed? Yes artia LOCATION/SEPARATI S: Foundation to Tank vsi- feet Foundation to Absorption 21-5t- feet Separation of Pits _ feet Conforms as per Plot Plan Ye. No LOCATION OF SYSTEM ON PROPERTY: (circle one) Front - '-ar - Left Side - Right Side a e Front Middle Rear 1.\) D M-R..\)\ -civ-- , 6i--1( Plow PLR • SYSTEM USE APPROVED: YES NO Arrived' Depar ed: ,, , //4(. � ;+'ilding I se' Tr • t) vS360(-- )40,__ 91-36tu-- TOWN OF QUEENSBURY BUILDING_& CODE ENFORCEMENT 742 Bay Road Queensbury NY 12804 (518)761-8256 SEPTIC DISPOSAL SYSTEM INSPECTION Name r ? ke j--61[Location 31 � Date -7 a Q_ Pe 't # --G-13 SOIL TYPE: Sand-Loam-Clay- Resul is of Percol at'.en—T-e�sst��- (if applicable) R te-Minute%I, ch TYPE OF SYSTEM: ABSORPTION FIELD: Total Length 't Length of each ench . . .Z@ '-i Depth of trenche 7 Size of stone xlF%‘_..‘ SEEPAGE PITS: Nu •ber- Size - ft. x ft. 1 Stone size PIPING: Size Type Bldg. to Tank L-iv+ Tank to Dist. Box « Dist. Box to Field/Pit . yoo vimW4 Openings Sealed? Yes No r i a.l, LOCATIO1/SEPARATIONS: ' Foundation to Tank a) .feet Foundation to Absorption z7t- feet '\ Separation of Pits feet Conforms as per Plot Plan Yes LOCATION OF SYSTEM ON PROPERTY: (circle one) ' Front - Rear - Left Side - Right Side 9� Middle Front :1- Middl e Rear S: YtvS \ \_ ____-‘ SYST .USE APPROVED: YE NO , Arrived: C ` 5 D ted: / ' - ilding Ins c r r.--_ C� V __Pb b {� a vt 'ODr� 1 T!-- vo S) TOWN OF QUEENSBURY BUILDING & CODE ENFORCEMENT 531 Bay Road Queensbury NY 12804 518-745-4447 SEPTIC DISPOSAL SYSTEM INSPECTION Name kde- ,'N Location ,� � ae , Vh - ` Date `7 3 bo Permit J J,° `p f ;l /�,� ) SOIL TYPE:, Sand-Loam-Clay- f / Results of; Percolation Test- . 't (if applicable) Rate-Minute/Inch , TYPE OF SYSTEM: ABSORPTIONFIELD: Total Length ; _ Length of each trench Depth of trenches Size of store SEEPAGE PITS:„ Number- Size - 'i ft. x ft. Stone size �, PIPING: `' Size Type Bldg. to Tank \,,. Tank to Dist. Box Dist. Box to FieLd/Pit Openings Sealed? \ Yes No Partial LOCATION/SEPARATIONS: , Foundation to Tank \ feet Foundation to Absorption feet Separation ofPits ``�;, feet Conforms as per Plot Plan Yes No LOCATION OF SYSTEM ON 'PROPERTY: (circle one) `' Front - Rear .- 'Left Side'.\7 Right Side Middle Front .,- Middle Rear COMMENTS: \ te6- -a, . , oticr �'1-` ,' e 4 V4 n P rD ' e s re'' /s /Z/W- ifs ''� SYSTEM USE APPROVED: YES NO Arrived: Departed: Jff '3/2 Building Inspector GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road I Queensbury,NY 12804. Arrive am/pm Depart 1 6m/ Inspector's Initials NAME: KOV6- PERMIT# `Co, LOCATION: DATE : Cp TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from freezin for 48 hours following the place nt -04 of the concrete. R6 U L't76- ,4,0„e/ea v Materials for this purpose on site Foundation/Wallpour C -C bo- Reinforcement in Place Foundation/Dampproofing " RC—I—r' 4vL Backfill Approval Plumbing Under Slab Plumbing Vent/Vents--in,Place / Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior - Foundation Walls Exterior '<- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper VentrAkttic Vent Fra g 1z7�gC_ Cc'rkeR Gi%DN5 ,/fl — D1 kk Studs/Headers cing/Bridging oiist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3, hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road 71- Queensbury,NY 12804. Arrive am/pm Depart/' Inspector's Initialsv- NAME: Kv(,(( PERMIT#____21:_`-e� LOCATION: DATE: 7 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers t 1 I Monolithic Pour Form Reinforcement in Place The contractor is re ••• ible • providing protection •om freezi g for 48 hours followin;.the place ant of the concrete. Materials for this purpo.e on site Foundation/Wallpour Reinforcementgin Place Foundation/Danippr••fi•g Backfill Approval Plumbing Under Slab Plumbing Vent/Vents' Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls E erior R- Floors R- Walls R- Ceiling R- Ductwork or piping in unheated spaces - oper Ven c Vent naming ,ART I fl'(ri //05-4-L.` a-103 , -1 FAG &i . e_ Jack Studs/Headers V.e-mac_ wArc� Bracing/Bridging ,' I . V Joist Hangers ( 4/,41L *1,(, V" / D Jack Posts/Main beam 1 n)57 L W -- g 4-0 5 E (,.J ‹rzo c-A-G-ti, Air Infiltration Barrier i-G AcJ 5 Fire Separation 1,2, 3, hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping _ 3IO s GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement , 742 Bay Road / t tj� Queensbury,NY I 0 . Arrive am/pm Depart pm Inspector's Initials f AME: C r PERMIT# ` �K.' 7] LOCATION: I �lv .c-f? \\DATE : <1‘./(4) TYPE OF STRUCTURE: j RECHECK I N/A YES NO COMMENTS Footings/Piers._ r I I I Monolithic Pour Form. Reinforcement in Place --'`--.._ The contractor is responsible for providing protection from freezing for 48 hours following the placement of the concrete. Materials for this purpose on site N. Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R----`_ Foundation Walls Exterior R- - Floors R- Walls R- c iling R- e,6tn, . At bi j I6ri4 eit' e/ uct work or piping in 5h(E-b 866 unheated spaces R- oper Vent, Attic Vent (1 raining 7a51 — £�fi-G5 e 6 - h' Jack Studs/Headers Bracing/Bridging / 6P«IC l J— 6f:b tjG �G Joist Hangers .4/ Jack Posts/Main Beam C cm--ee... c' - 4.lw`1\3-6Y 0 FE/t)I"I C� fi KC Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 ;:ay Road `i�am/ Queensbury,NY 12804 Arrive am/pm Depart - Inspector's Initials ' NAME: c► - PERMIT# 9 I -ce l LOCATION: 1a:u6-4-{ \luc-cow DATE : 3-Ito/CD TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place The contractor is responsible for providing protection from f, ing for 48 hours following the ent of the concrete. CD r Materials for this purpose o A)S i/yLc:- ('6 -)i'�F G J')6—5 `� - c Foundation/Wallpour ,e //078-2 ,c 61 (i91S A A2 5/06. , Reinforcement in Place Foundation/Dampproofing ce-th-e-=r Back ll Approval\ Plumbing Under Sl 0/0.67;4.cC P o ‘NC r, 0� 6x i- O="FLc_ Plumbing Vent/Ven < - Rough Plumbing Heating Rough-In SeRD0 UDC- .AoOL1v0 N 4-(_ '17u 775 CO K,-'6r ).4 Insulation / Foundation Was Iu4erior R- VIU(cam i-r.G-D Rao F C tkrceG LI i /ec't Foundation W lls Exterior R- 14 Cr. �? c . 'TJT5 fi,AS� Floors / R- Ckiti.4...)61: Walls / R- Ceiling / R- / `` Duct work or piping in Øs,4Lc ` � ��irGr �'� (1W.--Q unheated spaces R- 14 ,,6�,,�� 7-J� ` 5 A 0« Proper Vent, Attic Vent / Framing V A5 & Z /'e , ,6-C�. Jack Studs/Headers Bracing/Bridging /J. Joist Hangers i Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping --a--01F4W .-'1 GENERAL INSPECTION REPORT Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code E iforcement 742 i5 ay Road .2., Quee I bury,NY 12804 Arrive am/pm Depart✓ ` m Inspector's Initials NAME: 144 PERMIT# �`1'`- '7-3 LOCATION: le v 1-kpt_c_ClZ) DATE : s ie` TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers Monolithic Pour Form Reinforcement in Place The contractor is res Bible for providing protection roni'freezing for 48 hours followin the placement of the concrete. Materials for this purpose on site Foundation/Wallpour 1 Reinforcement in Place \ I Foundation/Dampproofing \ / B..,:•,Il prodal ixt / i `_ '1tt bing Under-Slab- `7co. /4 +-p U<_- 1„, �C.4- C Irsiinnbing VentNents in Place (9g To Co J-PR Rough Plumbing / 1 Heating Rough-In-~' Insulation I Foundation Walls Interior R- Foundation Walls Exterior R- Floors R Walls R Ceiling R Duct work or piping in unheated spaces oper Vent, Attic Vent Framing Jack Studs/Headers racing/Bridging Joist Hangers Jack Posts/Main Beam InfnitiionBarrier ire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3, 4 hour Firestopping \ • fp GENERAL INSPECTION REPORT (518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: /I Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive Depart J� Inspector's Initia L NAME: t 1� P Ke- PERMIT# Z LOCATION: 3( f eve Wr 1 DATE: TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers \ I Monolithic Pour Form Reinforcement in Place The contractor is responsi'le for providing protection from •- ing for 48 hours following the I.laceme t of the concrete. Materials for thi -purpose on .ite Foundation/Wallpou• Reinforcement in Place Foundation/Dampproofing r,'\,a� Backfill Approval r Plumbing Under Slab ✓� Plumbing Vent/Vents in Place • ough Plumbing anrruk Heating Rough-In Insulation Foundation Walls Interior Foundation Walls Exterior Floors R- Walls • R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1,2, 3,hour Penetration Sealed Fire Wall 2,3,4 hour Firestopping cr -' ., GENERAL INSPECTION REPORT (518) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: Building&Code Enforcement 742 Bay Road Queensbury,NY 12804. Arrive am/pm Depart( 'a pm Inspector's Initials NAME: ke5 i<6 PERMIT# `�7 3 LOCATION: DATE : f d( TYPE OF STRUCTURE: RECHECK Ilik N/A YES NO COMMENTS Footings/Piers I I I Monolithic Pour Form Reinforcement in Place The contractor is responsib - for providing protection from ' •-zing for 48\ ours following the placeme of the c, rete. Materials for ii- • !lease on -• - Foundation/Wallpour Reinforcement in Place Foundation/Dampproofing Backfill Approval Plumbing Under Slab Plumbing Vent/Vents in Pl.ce rkOl.)106� " < M°eiZ A-L fvRough Plumbing Heating Rough-In I gocA\` N� CIA 4106 C> Insulation /ll A ) �p Foundation Walls Inte or R- CA g L (i �%e4' 'vA) e ri_Uz Foundation Walls Ext rior R- Floors R- Re- n1`�V- & e /f LC K Walls R- Ceiling R- I• Duct ork or pipi g in �'C6- f✓�I/ I, RDA)5 ' l 5 nheated spac 7 R- per h T6 per Vent,Attic spa/7 17 //.4.) rife_e_._ l 4' linJack Studs/Headers ✓/ �-7� (�jc UGe5 O 0& �)racing/Bridgmg �✓/ ' p `'Joist Hangers V ruL��' Al A-1 L �-�� �"(A N���5 Jack Posts/Main Beam Air Infiltration Barrier (i) c 1-1,41.1(0 i/Z5 6k a/Z,tat-Ck,&r G Fire Separation 1,2,3,hour CH( 0Lq ) Penetration Sealed ' uT — 'ire Mail 43,4 hour Q F�irestoppmg I "5 r ke- - - 3oCI 0 .LO V.1'LI 6 t�er4-e 1J?cc- 5 /V GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Qucensbnry Dept.of Community Development Date inspection request received: Building& Code Enforcement //� r 742 Bay Road Queensbury, NY 12804 Arrive am/pm Depart ` �a Inspector's Initials �1 NAME: C—. PERMIT# 1� (p / 3 LOCATION: \ \� Q DATE : — PLC 00 • TYPE OF STRUCTURE: " RECHECK N/A YES NO COMMENTS ooti gs/Piers V J � I I olithic Pour Form Reinforcement in Place The contractor is responsible fir providing protection from fre .ing for 48 hours following the pla-emcnt of the concrete. Materials for this purpose on si c Foundation/Wallpour Reinforcement in Place Fou •tion/D•mpproofing ckfill Approvals— Plumbing Under Slab RZ—A-1>C( Plumbing Vent/Vents in PP c Rough Plumbing Heating Rough-In Insulation Foundation Walls Lute:or R- Foundation Walls Exti,rior R- Floors R- Walls R- Ceiling R- Duct work or pipin. in unheated spaces, R- - Proper.Vent, Attic •rat___ Framing---- -- Jack Studs/Headcrs Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept. of Community Development Date inspection request received: Building& Code Enforcement 742 Bay Road Queensbury,NY 12804 Arrive am/pm Depart/ am/pm Inspector's Initials NAME: --di_� G— PERMIT# �9 473 LOCATION: o4/C7 7C j2 ) DATE : /7-./Z79'9 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS Footings/Piers I Monolithic Pour Form Reinforcement in Place • The contractor is res..nsi. e for providing-9 otection r• freezing for 48 hours o .•yin_ the placement of the concrete. Materials for this pu .t.se on site Foundation/Wallpour _ Reii orcement in Plac undation/Dampproo'Ong � 05 1-- 9 G R k .. Backfill Approval i Plumbing Under Slab • Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Interior R- Foundation Walls Exterior R- Floors R- Walls R- Ceiling R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing • Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation I, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping GENERAL INSPECTION REPORT ( 518 ) 761-8256 Town of Queensbury Dept.of Community Development Date inspection request received: /1/O-1r ? ,'g99 Building& Code Enforcement 742 ay Road Queensbury, NY 12804 Arrive Af am/pm Depart am/p Inspector's Initials / NAME: a , Z -k PERMIT# LOCATION: 3/ r�G�� DATE : //DV;/g N 47 TYPE OF STRUCTURE: RECHECK N/A YES NO COMMENTS ootings/Piers I r1 I Monolithic Pour Form y.s C `ariS Reinforcement in Place The contractor is re ponsibl for providing protectio from fre ring for 48 hours follow ng the pla ement of the concrete. Materials for this pu sc on sit Foundation/Wallpour Reinforcement in Plac Foundation/DainpproS ing Backfill Approval Plumbing Undcr Slab Plumbing Vent/Vents in Place Rough Plumbing Heating Rough-In Insulation Foundation Walls Int rior R- Foundation Walls Ex rior R- Floors R- Walls R- Cei l i ng R- Duct work or piping in unheated spaces R- Proper Vent, Attic Vent Framing Jack Studs/Headers Bracing/Bridging Joist Hangers Jack Posts/Main Beam Air Infiltration Barrier Fire Separation 1, 2, 3, hour Penetration Sealed Fire Wall 2, 3,4 hour Firestopping A s - (Au l�� 5 P✓�� �� (� TOWN OF QUEENSBURY 7S FINAL INSPECTION CERTIFICATE PROPERTY TAX MAP NO. Bob Hayes Excavating POBox214 9 Bay Road Lake Luzeme, NY 12846 ' (518) 696-2733 1 [, 15'6" 497" 27'5" h .� 50' ,40'4' 4' 10' 4' 58' 6' 42' RECEIVED Name: NOV 0`9.'2001 DICK KOKE TOWN OF QUEENSBURY 31 HONEY HOLLOW ROAD BUILDING AND CODE QUEENSBURY, .NY The above sketch shows the locations of the units comprising your sewage disposal system for future reference in case of difficulty. It shows measured distances from buildings,trees, garage, fence posts, etc.,to the components of your sewage disposal system. Constructed by: Bob Hayes Excavating Date Installed: July 2000 Design Basis 1. Number of Bedrooms 5. Septic Tank Type: 1250 Gal. 2. Daily flow: GPD 6. Size of Leaching Device: 6 Leach Lines Totaling 250' ' 3. Undisturbed soil depths: 7. Type of System(Conventional, A. To Groundwater: fill, etc: B. To Impervious Lens: 4. Percolation Rate: MlN/IN Approved By: Date: